1. development of the competenciesdo you know yourself? 17.10.2018 10 •what are my strengths...
TRANSCRIPT
Development of the concept of effective competences in integrative psychotherapy
training. Workshop.
The 9th Conference of the European Associationfor Integrative Psychotherapy, Oct. 12 –
14.,2018, Prague, Czech [email protected]
www.skaluvinstitut.cz+420 602 642 616
Skálův institut Praha, Czech Republic
Competencies of European psychotherapist
Professional practice
Psych. relationship
Assessment
Contract
Techniques and interventions
Crisis, ruptures, traumas
Closingtherapy
Cooperation
Supervision
Etics, cultural
senzitivity
Management and
administration
Research
Prevention and Education
17.10.2018 2
Myself
Psychotherap. process & techniques
Competencies of psychotherapist
Myself
Can you describe „the ideal features of integrative psychotherapist“ ? Who are you?
Resistant Collaboration
Disconfirming Confirmatory
Misplaced Relevant
………………………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………………………………
Special – unique – particular‐ strange – unusual – curious – extra‐ quaint – rummy ‐ odd – out‐of the way – peculiar ‐individual
1. Level of competency – 1968 ‐ 1990Knowing myself better ‐ experiental process• going through „psychotherapeutic“ process – in group therapy: me as a tool for psychotherapeutic process – I can use myself in a psychotherapeutic alliance to change patients´ pathological factors
SURSkala,Urban, Rubeš
Skala InstituteHeller, Frouzová
Jaroslav Skála – 1968 Recommendations for Psychotherapist´s Competencies
• Take and Give – both needs a lot of energy•Manage the art of confrontation• To be in the middle of thecourse of events and not to threaten anybody• Not to be afraid, do no harmand no poach
Experiential techniques, EncountersHow much of interpretations ?What form of self/reflection: ???
To learn some techniques by experiencing myself
Expressive therapies, psychodrama ……. LESS INTEPRETATION, MORE FEEDBACK EACH OTHER
Do you know yourself?
17.10.2018 10
• What are my strengths
• What are my short‐term goals and long‐term goals?
• Who matters most to me?
• What am I ashamed of?
• What do I like to do for fun?
• What new activities am I interested in or willing to try?
• What am I worried about?
• What are my values? What do I believe in ?
• If I could have a wish, it would be
• Where do I feel safest?
• What or who gives me comfort?
• If I wasn´t afraid, I would ….
• What is my proudest accomplishment?
• What is my biggest failure?
• Am I a night owl or an early bird?
• What do I like about my job? What do I dislike?
• What does my inner critic tell me?
• What do I do to show myself self‐compassion and self‐care?
• Am I an introvert or an extrovert?
• What am I passionate about?
• What is my happiest memory?
• What do my dreams tell me?
• What is my favorite book? Movie? Band? Food? Color? Animal?
• What am I grateful for?
• When I´m feeling down I like to ….
• I know I´m stressed when I
5 years5
years
How you see levels ofself‐reflection sharing
I realize, become aware
I say to individual therapist
I write to the diary
I say to t‐group
I say to a T‐community
Feed/back
MIID/MIED
MIID/MIED ?
Topics for sharing in a group / When in the process of training
• Childhood• Relationship with parents• Partnership • Problems with children• Ambition, career• Sex• Money, standard of living• Culture, style of living• Politics• Position and influence of power
1 2 3 4 5
Research group• Feedback according to the year in training and after
• Questionnaires • Differentiating between psychotherapeutic schools
• Norcross – what style of work patients wants from therapist
• Quality of stories which are submitted by students for psychotherapeutic work
Findings from ResearchIndividual therapy as a part of training•More time and space•More deep and more intensive topics• Finishing up of topics from t‐ groups or t – communities
• Important part of the training especially in second and third year of 5‐years study
• It helps overcomingcomplicated phases in training, especially in last years of the training
Findings from researchTopics / problems going throughout all the formsof training
Group session
Individual session
Skills training
Community techniques
Self‐directed group session
Education, readings
Courses outside
Morning community session as organizing program
Self‐reflectionFeedback ConfrontationExplanationExchange of Information
Findings from researchPremature release from the training /
overcomming• Fear from failing the aptitude to lead the group session
•Demandingness – energy, time and money
•Non‐trust for the group
Nevertheless, I stayed because:• Trust back • Challenge – I will not give up!
• Understanding of group proces
• Feed‐back• Interesting info
Inspiration from the ResearchHow much can he endure uncertaintyin the process
Cohesion of the group Feed‐back
Information Orientation in the proces
Anxiety Trust
Findings from the ResearchTherapist / Trainer
„GOOD“ and „BAD“• Interest, trust, support, acceptance
• Available• Patience, peaceful• Sense for humor• Use of techniques, professionality
• Non/acceptance• Absent• Passive• Concentration on the un‐functional
Findings from the researchHow much and what training „gives“
Info, experience, models,
techniques, ideasPersonalityprogress, self‐
reflection
Partnershiprelationship, needs of its ownJoy from the
change, environmental
stimuli
How much and why is training „giving“ (energy, motivation, pleasantness)
Info ‐ ratio
PersonalityI – on my own
PartnershipI – with theother ones+ Emotion
Motion
Usage of written surveys of own personality
•Global assessment of functioning scale•Questionnaires•Digest of adequate name, category•Feedbacks•Confrontation or comparison of approach
Example:What kind of therapist I want / I want to be
Dominant, directive
Let you lead the proces, listening
Strict, analyzing, confronting
Friendly, accepting,
positive feedback
17.10.2018 23
Types of singles
Wisecrak, gimmick
Little Boys and Girls
Bragging, ruffler
Poor Man
Example: Care about my psychic garden – how to spoil it– BLACK ON THE SOUL
Hurt
Offended
Powerless
Czernobyl Bargin
Jihad Sahara
2nd level of competency Knowing psychotherapeutic processes and techniques better
• 3 – 4 T‐groups in training community• With groups and community leaders• With supervision of group and community leaders
Eclectic approach with emphasis on
psychodynamic and interpersonal processes
Main processes in the psychoterapeutic group‐integrative psychotherapy – Skaluv institut
Warming‐up –(something from the last time to say
about)
Consent about program (by negotiating)
Exposition of client´s problem
Exploration by group
Naming/determinating/
negotiating „problem“
Intervention by technique/s
Expansion of topic/problem onto
group
17.10.2018 26
Therapist sum upProtagonist´s last word
Second phase of training after being in a role of„patient in the group“: Two more levels to train
• Training students to lead the group• Roles rehearsal • Integrative model of leading group (with one protagonist or interactional)
• Educating and training group leaders in supervision
Prof. David DeitchUniversity ofCalifornia
Craft / Skills ‐ Description of group session• What is said, done …………… summary
• What is just happening, naming the process … patient exposition• Group psychodynamic – roles, relating, • Communication styles during the session – of the group /individuals• Behavior patterns – typical reaction, „stories“
• What is the interpretation (what means: what is being said or happening …)• Focus on observation according levels of preparation to change/ positive thinking / openness /self‐reflection
• Focus on levels body‐ perception – emotion – thinking – interpersonal ‐transpersonal
Skill Training Modules• Basic psychotherapeutic skills• Leading psychotherapeutic group
• Managing defenses and motivation
• Body work• Managing psychic states• Communication skills• Family therapy
What happens in groups ? How do we do it?Naming of the processes,which took place all the year in their group
led by Community leaders • Naming of the problem, • naming of psychotherapeutic intervention• Search for different variants of psychotherapeutic intervention• Recognizing and Training some roles, and competenciesin the group
Some training techniquesand programs
Literary club
Morning short psychotherapeutic exercise
Ape rail Collage Cards
Cruxes
New methods of learning psychotherapy
Using videos of psychotherapy – from APA, youtube etc.
Using films, where psychotherapy is shown
Craft /Skills ‐ Switching content x process
• Exposition of the „patient“ – group reaction, interviewing• What are the problems?• Which one should I choose to work on?
• For how many people in the group is this topic actual, relevant? • What I want to achieve, what direction is my strive?• What kind of technique I can use for this aim? …… the other ones?
• Does it go well? Should I ask „protagonist“ or a group? Do I want protagonist to understand what is going on or do we lead the blind one?
Theory curriculum for integrative psychotherapists– working lists = horse/crib for test• Traditional schools with most important techniques: psychoanalytic and psychodynamic, Gestalt, CBT, PCA, TA, Exist., System/family,
• Expressive methods, scaling, categorization, comparison, analogy, sociometry, questionnaires
• Integrative approach: common and specific factors and principles, psych. relationship, attachment and transference.
• Psychotherapeutic forms – indiv. /paar/Group/ System. and Family /TC• Systematic choosing of treatment according DG/problem, psychological needs, personality traits
• Focus on levels – body, perception, emotions, cognitions, interpersonal and transpersonal
• Focus on process, problem and it´s solving, models of personality growth, models of integrative supervision
• Models of integration, NLP, Multicultural, Transtheoretic, BDT, TLDP, DBT, AEDP
1. Supervision as every relationship include transference.
What kind of „transference towards supervisor“ helps you most
substantially?
3. How should you, as a supervisor, handle therapist transference in order to use it, to facilitate to
process?
• Trust – love – admiration – fear – anxiety – interest – affection for
3rd level – knowing our COMPETENCIES better
Closing conference after 5 years of training
•Presentation and Advocating of
•Final written work on self‐experience
•Final theoretical work
San Diego ICAA Conference
Training in Psychotherapyof Dependency
1995
ClientSelf‐
experience
PracticeProfessional
Profession as a tool
Theory
Schools, techniques,skills
Integrative supervision
Practice, competencies
Assesment, relationship
Plan with withre/contract
Cooperation withothers in program
Closing with after‐care attention
Evaluation oftreatment
Elements of educative system
Self/experience with Self‐reflection and learningpersonal skills
Knowledge ofpsychotherapeutic systemsand techniques
Ability to providepsych. techniques
Adequate Use of Knowledgeand Skills forClients
Ability to provide thepractice
MePs. map
TechniquesMatch
Competencies
What is the adequate theory curriculum for integrative therapy?
Short survey oftraditional schools
with most importanttechniques
Expressive methods
Integrative approach – common, relationship, transference … Psych. Form – Indiv …
Systemic choosing according …
Focus on levels
Focus on process, problem … integrative supervision
Models of integration
How much is proces in thepsychotherapy training coursepsychotherapy and how much coaching ?
Coaching
Psychotherapy
How much of what in the training?
Theory
Self‐experience ofpsychotherapy
How should we work on some personal features, which are important for profession of „integrative psychotherapist“?• Name it ‐ Discuss Self‐reflect how much I have it
• How much and in what wayshould we work with the student to help/let him search for using his strengths
What deficits are serious problemand how we handle them?
Course of integrative psychotherapy for advanced ones‐ New integrative „enterprises“‐ Where are we in the field of psychotherrap. systems? ‐ Similarities of approachesand techniques‐ Creating new combinationsand comprehensive models
What do we want to teach?Learning objectives in integrative psychotherapy training
Spirituality, Etics, Kindness
Communication and relationship skills ‐ feedback
Cultivating of Thinking and Emotional States
Self‐reflection and Openes to Growth1
2
3
4
Where do we go?